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CHARLES SAMUEL NP
NPI 1376158444
Nurse Practitioner in Mount Prospect, IL

Active since September 15, 2020
280 N WESTGATE RD APT 222, MOUNT PROSPECT, IL 60056(224) 659-6159 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Samuel Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES SAMUEL NP (NPI 1376158444) is an individual nurse practitioner in Mount Prospect, Illinois, licensed in Illinois (209.021993) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1376158444
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHARLES SAMUELCredential: NP
Location Address280 N WESTGATE RD APT 222Mount Prospect, IL 60056-2661
Mailing Address280 N Westgate Rd Apt 222Mount Prospect, IL 60056-2661 · (224) 659-6159
Phone(224) 659-6159
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1376158444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.021993
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
280 N WESTGATE RD APT 222, Mount Prospect, IL 60056
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Samuel's NPI number?

The NPI number for Charles Samuel is 1376158444. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Charles Samuel located?

Charles Samuel practices at 280 N Westgate Rd Apt 222, Mount Prospect, IL 60056. The listed phone number is (224) 659-6159.

What is Charles Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Charles Samuel was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.